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2481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38708/psn-pdf
      April 30, 2014 - Frequency and clinical importance of pages sent to the wrong physician. April 30, 2014 Wong BM, Quan S, Cheung M, et al. Frequency and clinical importance of pages sent to the wrong physician. Arch Intern Med. 2009;169(11):1072-3. doi:10.1001/archinternmed.2009.117. https://psnet.ahrq.gov/issue/frequency-and-clini…

2482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847734/psn-pdf
      April 19, 2023 - Patient safety tools for primary care. April 19, 2023 Domdera J. Fam Pract Manag. 2023;30(2):24-28. https://psnet.ahrq.gov/issue/patient-safety-tools-primary-care A large segment of patients receives outpatient care. This commentary suggests that high-reliability concepts be applied in the primary care environment…

2483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44526/psn-pdf
      October 07, 2015 - The evolution of a safety culture. October 7, 2015 Patton BS, Donovan KJ. The Evolution of a Safety Culture. Air Med J. 2015;34(5):264-8. doi:10.1016/j.amj.2015.05.012. https://psnet.ahrq.gov/issue/evolution-safety-culture This commentary describes how an air transport unit at one hospital developed a safety cultu…

2484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841199/psn-pdf
      December 07, 2022 - Press Play on Safety Conversations. December 7, 2022 Healthcare Excellence Canada. 2022. https://psnet.ahrq.gov/issue/press-play-safety-conversations After a patient safety incident, effective discussions are critical for healing and improvement. This website houses collections of materials to support constructive…

2485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73078/psn-pdf
      September 19, 2024 - Risky Business: Creating Connections. July 17, 2024 Joseph B. Martin Conference Center, Boston, MA; September 19, 2024. https://psnet.ahrq.gov/issue/risky-business-creating-connections A core tenant of the patient safety improvement drawing from the experiences of various high-risk industries to address system saf…

2486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45261/psn-pdf
      June 22, 2016 - Hospitals that mess up are urged to confess. June 22, 2016 Tozzi J. Bloomberg News Service. June 10, 2016. https://psnet.ahrq.gov/issue/hospitals-mess-are-urged-confess The concept of proactively responding to medical mistakes through disclosure and compensation has gained acceptance in recent years. This news art…

2487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41048/psn-pdf
      November 04, 2012 - An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. November 4, 2012 Sayre MM, McNeese-Smith D, Leach LS, et al. An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. J Nurs Care Qual. 2012;27(2):154-60. doi:10.1097/N…

2488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73523/psn-pdf
      July 21, 2021 - TeamSTEPPS Video Toolkit. July 21, 2021 AHA Team Training and Project Firstline. Chicago, IL: American Hospital Association, Center for Disease Control and Prevention; July 2021. https://psnet.ahrq.gov/issue/teamstepps-video-toolkit Problems in communication are common contributors to patient care mistakes. This t…

2489. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49810/psn-pdf
      November 01, 2017 - Palliative Care: Comfort vs. Harm November 1, 2017 Jox RJ. Palliative Care: Comfort vs. Harm. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm Case Objectives Recognize errors may be difficult to identify in palliative care. State that medication errors and errors in communica…

2490. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49651/psn-pdf
      May 01, 2012 - The Perils of Cross Coverage May 1, 2012 Farnan JM, Arora V. The Perils of Cross Coverage. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/perils-cross-coverage Case Objectives Explain the recently instituted ACGME duty hour regulations for 2011 as they pertain to handoffs and care transitions. Describe ed…

2491. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33760/psn-pdf
      February 01, 2014 - In Conversation With… Enrico Coiera, MB, BS, PhD February 1, 2014 In Conversation With… Enrico Coiera, MB, BS, PhD. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd Editor's note: Enrico Coiera, MB, BS, PhD, is a professor and director of the Centre for Health Informa…

2492. The Perils of Cross Coverage | PSNet
      psnet.ahrq.gov/web-mm/perils-cross-coverage
      September 22, 2010 - SPOTLIGHT CASE The Perils of Cross Coverage Citation Text: Farnan JM, Arora V. The Perils of Cross Coverage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX En…

2493. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851971/psn-pdf
      July 31, 2023 - Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up July 31, 2023 Bohringer C, Bourgeois J, Xiong G, et al. Failure to adhere to dietary restrictions leading to complications and poor follow-up. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/failure-adhere-dietary-restricti…

2494. Medical Errors and Medical Narcissism. | PSNet
      psnet.ahrq.gov/issue/medical-errors-and-medical-narcissism
      August 03, 2005 - Book/Report Medical Errors and Medical Narcissism. Citation Text: Medical Errors and Medical Narcissism. Banja JD. Sudbury MA: Jones and Bartlett, 2005. ISBN: 0763783617. Copy Citation Save Save to your library Print Download PDF Share …

2495. Care transitions know-how not just for clinicians. | PSNet
      psnet.ahrq.gov/issue/care-transitions-know-how-not-just-clinicians
      May 09, 2018 - Newspaper/Magazine Article Care transitions know-how not just for clinicians. Citation Text: Care transitions know-how not just for clinicians. Ready T. HealthLeaders Media. September 26, 2017. Copy Citation Save Save to your library Print Download PDF …

2496. Risky Business: Creating Connections. | PSNet
      psnet.ahrq.gov/issue/risky-business-creating-connections
      September 04, 2024 - United States Meeting/Conference Risky Business: Creating Connections. Citation Text: Risky Business: Creating Connections. Joseph B. Martin Conference Center, Boston, MA; September 19, 2024. Copy Citation Save Save to your library Print Download PDF …

2497. Soaring to Success: Taking Crew Resource Management from the Cockpit to the Nursing Unit. | PSNet
      psnet.ahrq.gov/issue/soaring-success-taking-crew-resource-management-cockpit-nursing-unit
      June 22, 2016 - Book/Report Soaring to Success: Taking Crew Resource Management from the Cockpit to the Nursing Unit. Citation Text: Soaring to Success: Taking Crew Resource Management from the Cockpit to the Nursing Unit. Sculli GL, Sine DM. Danvers, MA: HCPro, Inc; 2011. ISBN: 9781601467836. Copy Ci…

2498. CANDOR Webinar Series. | PSNet
      psnet.ahrq.gov/issue/candor-webinar-series
      June 01, 2023 - Webinar CANDOR Webinar Series. Citation Text: CANDOR Webinar Series. Patient Safety Movement Foundation. 2021.  Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

2499. Patient, Medical, and Legal Perspectives of Unsafe Care. | PSNet
      psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care
      July 20, 2021 - Webinar Patient, Medical, and Legal Perspectives of Unsafe Care. Citation Text: Patient, Medical, and Legal Perspectives of Unsafe Care. Patient Safety Movement. October 29, 2021.  Copy Citation Save Save to your library Print Download PDF S…

2500. Acting on Concerns: Your Professional Responsibility. | PSNet
      psnet.ahrq.gov/issue/acting-concerns-your-professional-responsibility
      April 02, 2014 - Book/Report Acting on Concerns: Your Professional Responsibility. Citation Text: Acting on Concerns: Your Professional Responsibility. Shale S; The Royal College of Surgeons of England. London, UK: RCSENG Communications; 2013. Copy Citation Save Save to your libra…